Journal
PEDIATRIC SURGERY INTERNATIONAL
Volume 16, Issue 3, Pages 209-210Publisher
SPRINGER VERLAG
DOI: 10.1007/s003830050725
Keywords
acute pancreatitis; child; extrahepatic biliary ductal necrosis
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An 8-year-old male presented with an acute abdomen. Exploration revealed bilious ascites, oedematous pancreatitis with areas of necrosis, and omentum showing patches of fat necrosis. The common bile duct and almost all of the common hepatic duct were gangrenous and had sloughed, with bile leaking from the junctional stump of the right and left hepatic ducts. The patient was managed successfully by Roux-en-Y hepaticojejunostomy. This is a rare case showing necrosis and sloughing of the extrahepatic bile ducts in acute pancreatitis.
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